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Stephanie Ketner

NPI 1447555297 · on the registry since 2011 · sole proprietor

Practice

Address
4730 W Sunnyside Ave
Glendale, AZ 85304
Phone
(602) 413-0115

Registry record

Primary taxonomy
385HR2055X
385HR2055X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona